基层眼科小梁切除术405例并发症分析

摘要

AIM: To analyze and summarize the effect of glaucoma trabeculectomy in the department of ophthalmology in basic hospital. METHODS: Postoperative intraocular pressure ( IOP ) , filtering bleb and complications of 316 cases (405 eyes) of patients with glaucoma after trabeculectomy were analyzed. RESULTS: After follow- up 12mo, 76. 5% IOP was controlled in normal level. 42. 5% was filtration bleb typeⅠ, 33. 1% typeII, 14. 6% in typeⅢand 9. 9% in typeⅣ. Intraoperative complication rate was 2. 5%, that was 31.4% at postoperative early stage ( before discharge ) , and 6. 7% at postoperative long - term ( 6mo after discharge) . CONCLUSION:Trabeculectomy for glaucoma can better solve the problem of high IOP. It is more mature in primary hospitals, but there are still a variety of intraoperative and postoperative complications.%目的：分析并总结青光眼行小梁切除术在基层医院眼科开展的效果。　　方法：对青光眼患者316例405眼行小梁切除术,对术后的眼压、滤过泡及并发症进行回顾性分析。　　结果：术后随访12mo,其中76.5%眼压控制正常；滤过泡Ⅰ型42.5%,Ⅱ型33.1%,Ⅲ型14.6%,Ⅳ型9.9%；术中并发症发生率2.5%,术后早期(出院前)并发症发生率31.4%,术后远期(出院6mo后)并发症发生率6.7%。　　结论：小梁切除术能较好解决青光眼高眼压问题,在基层医院开展较成熟,但术中术后仍有多种并发症发生。